Active NPI
Jessica Ann Miller, RN, MSN
- Critical Care Medicine Registered Nurse
- Horsham, PA
National Provider Identifier
1902314586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- RN578324
- Practice address
- 680 Blair Mill Rd
Horsham, PA 19044 - Phone
- (215) 902-9014
- NPI assigned
- Jan 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP018985 | PA | |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN578324 | PA | Primary |
Addresses
Primary practice location
680 Blair Mill Rd
Horsham, PA 19044
Mailing address
PO Box 162
Venango, PA 16440-0162
Phone (814) 720-8016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1902314586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 162",
"city": "VENANGO",
"state": "PA",
"postal_code": "164400162",
"telephone_number": "814-720-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 BLAIR MILL RD",
"city": "HORSHAM",
"state": "PA",
"postal_code": "19044",
"telephone_number": "215-902-9014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "RN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP018985",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "PA",
"license": "RN578324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Horsham, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.